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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0546827
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
8/18/2023 9:09:25 AM
Creation date
3/1/2023 9:52:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0546827
PE
1609
FACILITY_ID
FA0026522
FACILITY_NAME
B'S SOURDOUGH
STREET_NUMBER
17983
STREET_NAME
ISABELLA
STREET_TYPE
PL
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
17983 ISABELLA PL
P_LOCATION
07
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SANJ O A O U I N Environmental Health Department <br /> 7. Delivery Limitation: Initial if you agree to abide by the following- CZ <br /> I understand that I may accept orders and payments via the Internet, mail or phone. However, all"Class A"and <br /> 'Class B"CFO products must be delivered directly(in person)to the customer. The CFO products may not be <br /> delivered via the United States Postal Service, UPS. FedEx, or using any other Indirect delivery method as <br /> deliveries are regulated by, and subject to. CDPH registration and state and federal requirements. <br /> 8. Owner's Statement: <br /> I, (,1 etZRA 7-APA-TA , agree to grant access to the local health department to <br /> conduct an inspection of my cottage food operat on(mark one) <br /> ❑"Class A": In the event of a consumer 'Class B": For regular annual facility inspections <br /> Complaint or reported food-borne illness and in the event of a consumer complaint or <br /> food-bome illness <br /> I, _LIt2rMILA ZAPAr-TA agree to notify the San Joaquin County Environmental <br /> Health Department prior to modifying myfood list, type of operation. and/or method of selling,distributing, or <br /> otherwise providing my CFO products to the consumer or retailers, regardless of whether the product is sold, <br /> consigned, or given away. <br /> �111-� LIEIZfLA ZAPATA 0 /30/ t3 <br /> Owner's Signature Print Name Date <br /> 2o12 <br />
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